Resources

Additional Resources:

• See Presentation Slides for a list of terrific resources!
• Disaster Behavioral Health Curriculum Guidance by the Center for the Study of Traumatic Stress, Uniformed Services University
• Congratulations by the way – Some Thoughts on Kindness – by George Saunders – Reviewed by Brian Flynn

Description

Behavioral health leaders are faced with a confluence of mental health disasters –  the COVID-19 pandemic, other natural disasters like hurricanes, an economic crisis, civil and cultural turmoil – all producing a range of effects and challenging our values and ability to respond.  Disaster mental health principles tell us that:

1. Everyone is impacted in some way, but the impact varies
2. It is not only about diagnosing disorders
3. There is a behavioral health role in all phases of the disaster (preparedness, response, and recovery), and
4. Leadership matters.

Typically, in our healthcare profession, we focus on diagnosing and treating disorders, which make up a great deal of the morbidity and mortality in this and other disasters. However, before diagnosis occurs during a mental health disaster, the public will experience things like distress reactions and engagement in risky behaviors.  These will show up in places like the emergency department or primary care setting, via law enforcement interactions, and at home or at work.  All segments of society are impacted by the significant social and economic cost, creating a significant public behavioral health burden, and underscoring the important role of public behavioral health leadership.

Webinar Objectives

1. Understand the role of the public behavioral health system during COVID-19 as it relates to patient care, workplace, and partnerships.
2. Understand the role of the public behavioral health authority during COVID-19 as it relates to leadership, advice and advocacy, reducing barriers to care, and communication.
3. Review future emerging issues related to the ongoing nature of the pandemic.

Speaker Info

Dr. Joshua C. Morganstein, MD, is Associate Professor and Assistant Chair in the Department of Psychiatry and Assistant Director at the Center for the Study of Traumatic Stress (CSTS) in the Uniformed Services University of the Health Sciences and a Captain in the Commissioned Corps of the U.S. Public Health Service. He is a Chair of the Committee on the Psychiatric Dimensions of Disaster and Distinguished Fellow at the American Psychiatric Association. Dr. Morganstein received his medical degree from the Uniformed Services University of the Health Sciences. He completed a combined residency in Psychiatry and Family Medicine in the National Capital Consortium in Washington, DC. Dr. Morganstein leads the Disaster Mental Health and Public Health education and consultation services at the Center for the Study of Traumatic Stress. In this capacity he has been an invited speaker and consultant for national organizations and federal interagency partners.

Dr. Morganstein provided mental health subject-matter expertise to the United Nations’ 2015 Sendai Framework for Disaster Risk Reduction. He co-authored the first Curriculum Recommendations for Disaster Behavioral Health Professionals and was a co-author for a landmark Presidential report on the Impact of Climate Change on Human Health in the United States. Dr. Morganstein authored numerous articles, chapters, and technical reports on the mental health impact of various disaster events, including climate-related disasters, mass violence, terrorism, pandemics, and nuclear exposure. He is Assistant Editor for the second edition of the Textbook of Disaster Psychiatry. Dr. Morganstein has studied the effects of stress and trauma in organizational settings, including recent work with military drone intelligence community, personnel impacted by the 2013 mass shootings at the Washington Navy Yard, and is currently working with the United States National Guard to better understand risk and protective factors associated of COVID-19 deployments on the psychological health and operational readiness of service members.

Brian W.Flynn, EdD is Associate Director of Health Systems in the Center for the Study of Traumatic Stress, Adjunct Professor of Psychiatry, Department of Psychiatry, Uniformed Services University. A major focus of his work is consulting, writing, training, and speaking on the topics of preparation for, response to, and recovery from, the psychosocial aspects of large-scale emergencies and disasters. In addition, he provides CSTS leadership in the areas of behavioral health policy and systems development and integration. Prior to joining USU, he served as a Rear Admiral/Assistant Surgeon General in the United States Public Health Service (USPHS). He has directly operated, and supervised the operation of, the Federal Government’s domestic disaster mental health program (including terrorism), programs in suicide and youth violence prevention, child trauma, refugee mental health, women’s and minority mental health concerns, and rural mental health.

Dr. Flynn has served as an advisor to many federal departments and agencies, states, and national professional organizations. He is recognized internationally for his expertise in large-scale trauma and has served as an advisor to practitioners, academicians, and government officials in many nations. He received his BA from North Carolina Wesleyan College, his MA in Clinical Psychology from East Carolina University, and his EdD in Mental Health Administration from the University of Massachusetts at Amherst.

Tim DeWeese is the Director of Johnson County Mental Health Center.  The Mental Health Center is a department of Johnson County (KS) Government and employs more than 340 staff who provide behavioral health services to nearly 10,000 county residents annually.  Tim possesses a Bachelor of Science degree in Psychology from Missouri Southern State University and a Master of Social Work Administration degree from the University of Kansas.  He is a Licensed Mental Health Professional in Kansas and has over 30 years of experience in community mental health, where he has worked in various capacities. He possesses extensive knowledge and experience in the public mental health delivery system, client-centered leadership, and program design/development.  Tim also served more than 10 years as a commissioned officer in the Army Reserve and National Guard.

Additional Resources:

• The Dawn of System Leadership by Peter Senge, Hal Hamilton, & John Kania (Stanford Social Innovation Review)
• The Cascading Curves of Poverty of COVID-19 by Dr. Larissa Estes
• White Fragility by Dr. Robin DiAngelo
• Post Traumatic Slave Syndrome by Dr. Joy DeGruy

Description:

COVID-19 does not affect everyone equally. Public health crises by their nature reveal existing inequities and make them worse. This is especially true among Black, Indigenous and People of Color who are disproportionately harmed by institutionalized policies and practices that knowingly and unknowingly perpetuate racism and discrimination – creating disparities and poverty. Generations of historically traumatic events have a profound impact on a community’s health, increasing vulnerability to behavioral and other complex health needs.

Now several months into the COVID-19 crisis, what does this look like on the ground from the eyes of our disenfranchised communities? How has this pandemic exposed and exacerbated existing inequities? As leaders, we must be prepared to have difficult conversations about structural racism and resulting inequities and be willing to develop collaborative strategies to address.

Learning Objectives:

1. Participants will be able to identify and classify inequities experienced from the lens of the communities or populations they serve.
2. Participants will understand the impacts of inequities on populations with behavioral and other complex health needs.
3. Participants will be able to articulate concrete examples of ways in which as leaders, they can address inequities occurring at each level of the social ecological model.

Speaker Information:

Jei Africa, PsyD, MSCP, Director of Marin County Behavioral Health and Recovery Services

Dr. Jei Africa is the Director of Behavioral Health and Recovery Services at the County of Marin. He is an innovative thought leader and clinician who is passionate about integrating effective culturally responsive practices into the core functioning of County health services. Dr. Africa has over two decades experience in the areas of behavioral health, trauma, health equity and diversity. He also maintains a consulting and private psychotherapy practice in the Bay area.

Dr. Larissa J. Estes, DrPH, Executive Director, ALL IN Alameda County

Dr. Larissa J. Estes is the Executive Director of ALL IN Alameda County. ALL IN was launched in 2014 by County Supervisor Wilma Chan to address issues of poverty in response to growing inequality. Dr. Estes has over 20 years of experience in allied health, healthcare, and public health with a focus on community and equity and is interested in integrating evidence-informed strategies into policy and practice across sectors that impact community health and wellbeing.

Additional Resources:

• Potential economic impact of integrated medical-behavioral healthcare: Updated projections for 2017
• Integrated Care: Working at the Interface of Primary and Behavioral Health Care (By Lori Raney, M.D.)
• Integrated Care: A Guide for Effective Implementation (By Lori Raney, M.D., Gina Lasky, Ph.D., and Clare Scott)

Description:

Rates of depression, anxiety, trauma, substance use and grief are rising across large segments of the population—particularly for youth and black, indigenous and people of color. Primary care will be the first responders to this mental health crisis across the country. There has never been a more important time for the integration of behavioral health in primary care for early identification, treatment of mild to moderate conditions, and enhanced referral to specialty care. Integrated care has also shifted to telehealth and there are emerging lessons. Join us for a discussion on the importance of integrated care for supporting public health, behavioral health, and health equity during Covid-19.

Key Themes: Expansion of access to behavioral health services, universal screening of behavioral health conditions, brief interventions, core elements of effective integrated care, expansion of psychiatry and emerging trends in virtual integrated care.

Learning Objectives:

• Participants will be able to describe the central role of integrated care in Covid-19
• Participants will be able to describe and share in lessons learned from virtual integration
• Participants will review the need, disparities and risks in a rising behavioral health crisis
• Participants will identify the role of integrated care in management of coronavirus for vulnerable populations

Our Panelists:

Gina Lasky, Ph.D., MAPL, Principal, Health Management Associates
Dr. Lasky has decades of experience in public sector behavioral health. She works across the country on projects related to behavioral health system design, practice transformation, and integration of behavioral health for states, counties, managed care plans, and large providers. Her work focuses on development of effective stepped care approaches levering a continuum of services tailored to population need. This includes behavioral health quality improvement and innovation, such as enhancing measurement-based care, using human centered design thinking, bringing behavioral health services into the community, and partnership development and collective impact initiatives.
Dr. Lasky has examined state policy and administrative barriers to integrated care and has published work on leadership and team development in integrated care with the Center for Integrated Health Solutions and the American Psychiatric Association. She is co-editor of Integrated Care: A Guide to Effective Implementation for the American Psychiatric Association. She works nationally with States, managed care and providers on effective implementation of integrated care.

Prior to coming to HMA, Dr. Lasky provided direct clinical care for numerous non-profit organizations, a public hospital, and a state psychiatric hospital where she specialized in serious mental illness and working with individuals who were aggressive towards themselves and others. Gina has had leadership responsibility for an acute treatment unit, a detox program, crisis services, outpatient mental health clinics, and substance use treatment programs in community behavioral health. She has been responsible for clinical program development, quality improvement, and directly supervised clinical managers and therapists.

Dr. Lasky earned her masters and doctorate in counseling psychology from the University of Denver and a master’s degree in public leadership with a specialization in multi-sector management from George Washington University. She is the current Past President of the Board for The College for Behavioral Health Leadership.

Lori Raney, MD, Principal, Health Management Associates
Dr. Lori Raney is a board-certified psychiatrist and Principal with Health Management Associates in Denver, Colorado. She is considered a leading authority on the collaborative care model and the bidirectional integration of primary care and behavioral health. Her work focuses on service evaluation, gap analysis and design and training of multidisciplinary teams to implement evidence based practices to improve the identification and treatment of mental illness in the primary care setting and improve the health status of patients with serious mental illness behavioral health settings. She has worked with clients implementing 2703 Health Home State Plan Amendments for behavioral health populations, state innovation model (SIM) and transforming clinical practice initiatives (TCPI), and provided training for personnel implementing Primary and Behavioral Health Care Integration (PBHCI) grants. She is the editor of two books Integrated Care: Working at the Interface of Primary Care and Behavioral Health and Integrated Care: A Guide for Effective Implementation. In addition she has published numerous articles in peer reviewed journals on topics related to integration. She was selected to be a Master Trainer for the American Psychiatric Association’s Support and Alignment grant to train 3,500 psychiatrists in the collaborative care model. Her current work also includes evaluating hospitals and clinics in recognizing and developing strategies to deal with the impact of behavioral health across health care systems including the design and implementation of integrated care in their primary care practices.

Dr. Raney served for 15 years as the medical director of a community mental health center in rural Colorado, where she fostered the development of a full range of evidence-based services including the development of a telepsychiatry program, working in and deploying psychiatric providers in corrections settings, developing an inpatient psychiatric treatment unit, managing the psychiatric medical team in implementing prescribing best practices including metabolic monitoring, encouraging medication assisted treatment of substance use disorders, and establishing hospital-based psychiatric consultation. In her administrative capacity she has extensive experience in psychiatric medical leadership, innovative strategies for hiring and retaining the psychiatric workforce, established performance measures for good psychiatric care and implemented strategies to meet key performance indicators required by Medicaid. During her tenure, she led efforts to implement the collaborative care model of integrated care in diverse primary care locations including Federally Qualified Health Centers, a Rural Health Center, tribal clinics, and school-based health centers, and has served as a consultant psychiatrist at these locations. Dr. Raney participated in the design of a fully integrated healthcare facility that combined primary care and traditional behavioral health, which made it possible for her to rapidly address the physical health issues in patients with serious mental illness.

She has worked for over 15 years with tribal populations with the Indian Health Service in remote clinics in the Southwest and continues her clinical work with the Ute Mountain Ute tribe in Towaco, Colorado. She also worked both as a staff psychiatrist and as the Clinical Director for an ambulatory care center in rural Arizona on the Navajo Reservation.

Presented by Ron Manderscheid (Executive Director, National Association of County Behavioral Health and Developmental Disability Directors) and Greg Moore (Chair, Dickinson Wright’s Behavioral Health Care Practice Group and Founding Member of AVANT Consulting, LLC)

What: With many changes affecting American businesses during the coronavirus pandemic, it can be difficult to keep up. Complex new laws, programs and regulatory changes have raised questions and concerns amongst healthcare providers trying to continue necessary services for their customers while staying ahead of the rapidly evolving environment.

New obligations to employees under the Families First Coronavirus Response Act (FFCRA) and/or unemployment; opportunities for business relief like the Paycheck Protection Program, Economic Injury Disaster Loan, and grant programs from SAMHSA, the CDC and others; and regulatory relaxation under the 1135 Waiver during Federal and State emergency declarations – including telehealth and payment for services – have left employers/providers scrambling for the latest information.

This webinar will explore:

• Frequent questions and concerns related to the new laws, programs and regulatory changes;
• General themes related to how States have used the 1135 waiver, and implications for providers;
• An overview of National and State resources and how they can be accessed by providers.

Who Should Attend?
Healthcare leaders involved in organizational planning and decision-making.

Learning Objectives

• Understand key employer obligations, business opportunities and regulatory changes impacting providers through COVID-19.
• Gain awareness of 1135 waiver themes across states and how this may impact your healthcare / behavioral health organization.
• Learn new resources available to support you and how to access them.

Our Panelists:

Ron Manderscheid, Ph.D ., serves as the Executive Director of the National Association of County Behavioral Health and Developmental Disability Directors. The Association represents county and local authorities in Washington, D.C., and provides a national program of technical assistance and support. Concurrently, he is Executive Director of the National Association for Rural Mental Health, Adjunct Professor at the Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, and Adjunct Professor, School of Social Work, University of Southern California. Dr. Manderscheid serves on the boards of the Cosmos Club, the Employee Assistance Research Foundation, the Danya Institute, the Council on Quality and Leadership, the NASMHPD Research Institute, and the National Register of Health Service Psychologists. He also serves as the Co-Chair of the Coalition for Whole Health. Previously, he served as the Director of Mental Health and Substance Use Programs at the Global Health Sector of SRA International and in several federal leadership roles at the U.S. Department of Health and Human Services. Throughout his career, he has emphasized and promoted peer and family concerns.

Dr. Manderscheid is a former Member of the Secretary of Health and Human Services Advisory Committee on Healthy People 2020, Past President of the Federal Executive Institute Alumni Association (FEIAA) Foundation, Past President of FEIAA, past Chair of the American Public Health Association (APHA) Mental Health Section and a past member of the APHA Governing Council. He has also served previously as the Chairperson of the Sociological Practice Section of the American Sociological Association, as President of the Washington Academy of Sciences and the District of Columbia Sociological Society, and as President of ACMHA: The College for Behavioral Health Leadership.

Recently, he co-edited a new text, Outcome Measurement in the Human Services: Cross-Cutting Issues and Methods in the Era of Health Reform, and contributed to a second new text, Public Mental Health. Previously, he served as principal editor for eight editions of Mental Health, United States. He has also authored numerous scientific and professional publications on services to persons with mental illness and substance use conditions. He serves on the Editorial Board and prepares a periodic blog for Behavioral Healthcare Executive.

Greg Moore, JD , chairs Dickinson Wright’s Behavioral Health Care Practice Group and is a Founding Member of AVANT Consulting, LLC, a behavioral health boutique consulting firm. Greg has been a consultant and practicing health care attorney since 1991. During his entire career, he has focused on representing and counseling providers of all types and sizes including behavioral health care provider companies, facilities, and networks.

Greg has been recognized as a thought leader and innovator when it comes to the integration of behavioral and physical health care. With 25 years of experience serving clients in the industry, his practice covers the full spectrum of regulatory, transactional, and litigation services.

In January 2009, Mr. Moore created a Behavioral Health Care Law focused Practice Group, the first of its kind in a national law firm. The group continues to be leaders in educating and counseling clients as parity and the integration of behavioral health and physical health take center stage.

What: COVID-19 has changed the world in which we live and work. Leaders and front-line healthcare professionals alike are facing new and more complex challenges as we adapt to a rapidly changing environment of care, while the level of uncertainty and ambiguity continues to grow. We are forced to make more difficult decisions, work in new ways and care for our own families, all while motivating our workforce to stay the course. So how do we collectively cultivate resiliency in order to remain strong and thrive while in stressful conditions, particularly when connection to others must be made from a distance? In this webinar, we will hear from three professionals to explore the dynamics of COVID-19 and how we can continue to support the development of our best selves as leaders through crisis. We will also learn about a model of peer to peer support developed to support Chinese healthcare professionals, and an upcoming opportunity to virtually build resilience together.

Who Should Attend?

Healthcare leaders, community leaders, leaders of front-line workers, and others involved in the COVID-19 response

Learning Objectives:

• Understand the conditions necessary to cultivate resiliency as leaders and thrive through crisis.
• Learn about an innovative model to provide peer to peer support utilizing social media developed for Chinese healthcare professionals fighting the virus at the front line in Wuhan.
• Learn about “Stronger Together – Resilience Circle,” an opportunity to virtually build resilience through mindful gratitude practices

Our Panelists:

Cyra Perry Dougherty “Perry” is the founder and CEO of Rootwise Leadership , where she serves as the lead coach, consultant, facilitator, and teacher. With more than 15 years of experience working with global executive teams in the entrepreneurial, public, and social sectors, Perry enriches cutting-edge leadership and organizational development theory and practice with a deep understanding of the power of awareness, creativity, storytelling, and play. She pursues her work with transformation as both means and end.

In addition to her work with Rootwise Leadership , Perry is an Instructor at the Harvard T.H. Chan School of Public Health , founder of The Collective Leadership Certificate Program , a Senior Partner at Still Harbor , ordained interspiritual minister and spiritual director. She is also founding Editor of Anchor magazine and Editor of The Anatomy of Silence , Red Press 2019. At home, she is a mother to three, ages 3, 10, and 15, a meditator, and a writer. Get in touch with Perry directly at perry@rootwiseleadership.com .

Pu Cheng, M.D., FAPA is the Inpatient Director at Meridian Health Services and a volunteer Clinical Assistant Professor of Psychiatry at the Indiana University School of Medicine in Muncie Indiana. He received his medical degree from Shanghai Medical University and has been in practice for more than 10 years.

During the crisis of COVID-19 in Wuhan, China, Dr. Cheng led a team to immediately assemble a team of 45 credentialed mental health workers from the USA, Canada and Australia, dedicated to peer-to-peer support for first line Chinese healthcare professionals who were fighting this epidemic crisis. They employed intervention techniques, via a novel method of social media, and received a good response. This innovative approach can have wide acceptance, is ideal for rapid response, and is suitable in situations where communication is done at a distance and due to a highly contagious epidemic. This model also faces some unique challenges previously unknown. It has the potential be further developed into a widely-adopted and easily modifiable model that can be applied immediately to fight what is now global pandemic.

Shannon Mong, PsyD is passionate about making it easier for healthcare leaders to achieve their goals. An experienced consultant, she engages leaders and teams to solve complex problems in rapidly evolving environments. Shannon’s career spans multiple industries and clients — beginning in media and educational technology leadership before becoming a licensed psychologist. A former direct service provider and program administrator in the public behavioral health system and leader in a large provider organization, Shannon knows the challenge of managing day-to-day work while fostering innovation.

As a Principal at HMA, Shannon’s focus is on guiding system transformation and healthcare optimization initiatives from initial concept to full execution. Areas of expertise include: improving outcomes of high utilizer populations, integrating physical health and substance use into behavioral health, value-based care, leadership and team development, stakeholder processes, strategic planning, and workforce development. A certified facilitator and conference presenter, Shannon also leads workshops to enhance organizational wellness.